rs11679897 - SOCAR
Magnitude 4.5 · 1 study on file
Reported associations
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Genome-wide association analyses highlight etiological differences underlying newly defined subtypes of diabetes. - Nature genetics (2021) · Mansour Aly D, Dwivedi OP, Prasad RB, Käräjämäki A, Hjort R, Thangam M, Åkerlund M, Mahajan A, Udler MS, Florez JC, McCarthy MI, Brosnan J, Melander O, Carlsson S, Hansson O, Tuomi T, Groop L, Ahlqvist E · PubMed 34737425
Type 2 diabetes has been reproducibly clustered into five subtypes with different disease progression and risk of complications; however, etiological differences are unknown. We used genome-wide association and genetic risk score (GRS) analysis to compare the underlying genetic drivers. Individuals from the Swedish ANDIS (All New Diabetics In Scania) study were compared to individuals without diabetes; the Finnish DIREVA (Diabetes register in Vasa) and Botnia studies were used for replication. We show that subtypes differ with regard to family history of diabetes and association with GRS for diabetes-related traits. The severe insulin-resistant subtype was uniquely associated with GRS for fasting insulin but not with variants in the TCF7L2 locus or GRS reflecting insulin secretion. Further
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Lifestyle context
Concrete actions anchored to the cited research. We do not prescribe, we describe.
Discuss with your doctor
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genetic risk and prevention strategy Moderate
Clinical discussion of genetic predisposition to severe insulin-deficient diabetes enables personalized prevention planning
Exercise
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regular physical activity Moderate
Exercise improves insulin sensitivity and glucose metabolism, reducing risk progression in genetically predisposed individuals
150 minutes moderate-intensity aerobic exercise per week, plus resistance training 2-3 times weekly
Lifestyle
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weight management and healthy diet Moderate
Genetic predisposition to insulin-deficient diabetes can be partially offset by lifestyle modifications that improve insulin sensitivity
Maintain BMI 18.5-24.9 if normal weight, gradual 5-10 percent weight loss if overweight
Screening
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blood glucose and HbA1c screening Moderate
Genetic variant associated with severe insulin-deficient type 2 diabetes warrants regular metabolic monitoring for early detection
Annual fasting glucose and HbA1c testing, more frequently if pre-diabetic